NURSING
2025 PSYCHIATRIC-MENTAL HEALTH
NURSING, MENTAL HEALTH NURSING
CHAPTER 1-10, CONTEMPORARY
PSYCHIATRIC-MENTAL HEALTH
NURSING (TEST 1) CHAPS 1-5 8-10, 13,
23, PSYCHIATRIC NURSING - PRELIMS,
MIDTERM
A patient tells the mental health nurse, "I am terribly frightened! I hear whispering that someone is going
to kill me." Which criterion of mental health can the nurse assess as lacking?
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, PSYCHIATRIC/MENTAL HEALTH
NURSING
a. Control over behaviour
b. Accurate appraisal of reality
c. Effectiveness in work
d. Healthy self-concept –
Correct Answer :b. Accurate appraisal of reality
The appraisal of reality is lacking for this patient. The patient does not have a picture of what is happening
around himself or herself.
A 14-year-old belongs to a gang that bullies and punishes other teens, engages in sexually promiscuous
behaviour, attends school infrequently and argues with her parents, claiming they are just old-fashioned
and don't understand her. What does the assessment data support about the patient?
a. That she is exhibiting problems related to conduct and behaviour
b. That she cannot accurately appraise reality
c. That she is seriously and persistently mentally ill
d. That she should be considered for group home placement –
Correct Answer :a. That she is exhibiting problems related to conduct and behaviour
This patient is demonstrating disturbed conduct and behaviour. This patient demonstrates
undersocialized, aggressive behaviour such as a repetitive and persistent pattern of aggressive conduct in
which the basic rights of others are violated.
The nurse planning care for a mentally ill patient bases interventions for recovery on which of the
following concepts?
a. That the patient has areas of strength on which to build
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, PSYCHIATRIC/MENTAL HEALTH
NURSING
b. That the patient has rights that must be respected
c. That the patient comes with experiences that contribute to his or her problem.
d. That the patient share fears that are similar to those of all mentally healthy individuals –
Correct Answer :a. That the patient has areas of strength on which to build
Nurses support recovery by evaluating patients with mental health issues for their strengths and their
areas of high functioning. It is important to build on and encourage the strengths and many attributes of
mental health in patients with mental health issues.
An individual is found to consistently wear only a bathrobe and to neglect the cleanliness of his
apartment. When neighbours ask him to stop his frequent outbursts of operatic arias, he acts outraged
and tells them he must sing daily and will not promise to be quieter. What does this behaviour support
about him?
a. That he is demonstrating symptoms of bipolar disorder
b. That he is socially deviant
c. That he is egocentric
d. That he is not demonstrating any definitive signs of mental illness –
Correct Answer :d. That he is not demonstrating any definitive signs of mental illness
One myth about mental illness is that to be mentally ill is to be different and odd. Another misconception
is that to be healthy, a person must be logical and rational. Everyone dreams "irrational" dreams at night,
and "irrational" emotions are universal human experiences and are essential to a fulfilling life. Some
people who show extremely abnormal behaviour and are characterized as mentally ill are far more like
the rest of us than different from us. No obvious and consistent line between mental illness and mental
health exists.
A nursing diagnosis for a patient with a psychiatric disorder serves which of the following purposes?
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, PSYCHIATRIC/MENTAL HEALTH
NURSING
a. It justifies the use of certain psychotropic medication.
b. It provides data essential for insurance reimbursement.
c. It provides a framework for selecting appropriate interventions.
d. It completes the medical diagnostic statement. –
Correct Answer :d. It completes the medical diagnostic statement.
Nursing diagnoses provide the framework for identifying appropriate nursing interventions for dealing
with the phenomena a patient with a mental health disorder is experiencing.
The mental health status of a particular patient can best be assessed by considering which of the
following?
a. The degree of conformity of the individual to society's norms
b. The degree to which an individual is logical and rational
c. Placement on a continuum from health to illness
d. The rate of intellectual and emotional growth –
Correct Answer :c. Placement on a continuum from health to illness
Many (but not all) of the most prevalent and disabling mental disorders have been found to have strong
biological influences. Therefore, these disorders can be regarded as "diseases." Visualizing these disorders
along the mental health continuum is helpful.
Having more than one mental illness is described by which of the following terms?
a. Co-morbidity
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